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Twenty-eight years of liaison psychiatry at a general hospital

Kennedy Tower, Royal Edinburgh Hospital, Morningside Park, Edinburgh EH10 5HF;

H. Dawson, House Officer in Old Age Medicine, D. Marshall, Senior House Officer in Psychiatry and K. Slatford, Consultant Psychiatrist

Western General Hospital, Edinburgh

^* Correspondence

Aims and method A questionnaire was used to measure physician satisfaction with the unit and comparison of referral numbers and diagnoses with 1967, when the unit was new, and in 1985 when it was re-audited.

Results Despite physicians' satisfaction with the service, the referral rate remains unchanged.

Clinical implications Liaison psychiatry should not concern itself with trying to increase referral rates. Research into patient outcome should be a priority and guide its future direction.